Πέμπτη 9 Αυγούστου 2018

Auto-amputation of penis due to advanced carcinoma penis

Description

A 82-year-old Indian male patient was referred with complaints of the wound in right inguinal region for the last 15 days. He initially presented to a primary care centre with complaints of a progressive ulcer over penis for 12 months and swelling in right inguinal region for the last two months. He also revealed sloughing of penile tissue 1 month back. The discharged card mentioned that the patient received antibiotics and underwent incision/drainage of the inguinal abscess under anaesthesia. He also had difficulty in micturition. The patient denied any history of sexually transmitted disease or local trauma. Clinical examination revealed almost complete loss of phallus. (figure 1). There was evidence of abscess in right inguinal region and hard matted nodes palpable in the left inguinal region. Metastatic workup revealed evidence of distant metastases. Biopsy from the base of residual penile stump revealed squamous cell carcinoma (figure 2). The...



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